Why and from whom is an application required in the FSS pilot project?
In the pilot regions, social insurance benefits are paid according to a special scheme: employees receive them not from the employer, but directly from the Social Insurance Fund. And for sick leave, the employer pays only the first three days, the rest is transferred by social insurance. Therefore, the procedure for documenting insurance cases differs from the general one.
Our experts have prepared a special guide for accountants on direct benefit payments in 2021. Go to this material and see the recommendations of professionals.
Be sure to collect employee benefit applications immediately after the holidays. See here for details.
The package of documents for benefits is also different. In addition to documents confirming the actual occurrence of the insured event (sick leave, for example), the employer must submit a corresponding application to social insurance.
A complete list of documents that, in addition to the application, are provided to social security for the payment of various benefits to employees can be found in ConsultantPlus. Get trial access to the system for free and go to the Ready-made solution.
The employee must write an application to the Social Insurance Fund. If he finds it difficult to do this, and just to avoid mistakes in the document, entrust the application to a specialist - an accountant or personnel officer. And the employee will only sign it. We think you won’t have any problems signing the application for the FSS pilot project.
Legislation
At the end of 2021, Decree of the Government of the Russian Federation dated December 30, 2020 N 2375 “On the specifics of financial support, assignment and payment in 2021 by the territorial bodies of the Social Insurance Fund to insured persons of insurance coverage for compulsory social insurance in case of temporary disability and in connection with maternity and compulsory social insurance against industrial accidents and occupational diseases, making other payments and reimbursement of the insurer’s expenses for preventive measures to reduce industrial injuries and occupational diseases of workers.”
Previously, upon the occurrence of each insured event, the insured person contacts the policyholder with a statement.
Now you will not need to submit an application each time if the policyholder already has the necessary documents.
When hiring, you can take from an employee the information necessary to assign and pay benefits. Then, when an insured event occurs, simply send them to the Social Insurance Fund. It will be necessary to change the data only if some information about the employee changes (for example, when the employee opens a new bank card).
However, this order cannot be used for now, because the forms are not approved by the document. There is only a draft Order on new forms of documents - https://regulation.gov.ru/projects#npa=112434
FSS pilot project: application form and example of completion (sample)
The form and procedure for filling out the application for the FSS pilot project were approved by FSS Order No. 578 dated November 24, 2017. You can download it on our website.
Important! ConsultantPlus warns If the employer does not submit a package of documents for benefits on time or submits such a package of documents incompletely or with errors, then... Find out in K+ what the negative consequences of failure to submit documents are. Trial access is available for free.
You can fill out the application manually (in block letters using black ink, or with a gel, capillary, or fountain pen) or on a computer. Tips for completing individual lines and fields are provided in the footnotes below the application form. To make it easier for you to fill out the application, we have made a sample of it:
Submit the application and other documents to the Social Insurance Fund within 5 calendar days from the date of receipt from the employee. Compile and attach an inventory to them in the form presented below:
Social insurance also submits a register of information for calculating benefits, which you can find out about here.
See also “The transfer of benefits to the MIR card was postponed until July 1.”
Provide the employee who goes with the documents to the fund with a power of attorney. The Social Insurance Fund must check the information received, calculate and pay benefits to the employee within 10 days.
Changes to ZUP 3 on documents for direct payment of benefits after the date of entry into force of the Order
We list the changes and new forms for documents on direct payment of benefits after the effective date of the Order.
Changing the name of the document Employee's application for payment of benefits
The new name of the document: Employee Application for Benefit Payment is Information for the register of direct payments to the Social Insurance Fund (Reporting, certificates - Benefits at the expense of the Social Insurance Fund).
Wherein:
- Information in paper form is signed by the employee once . They need to be re-signed only when the information changes.
- The document Information for the register of direct FSS payments is entered for each (!) benefit . It is sent along with the Register of direct payments to the Social Insurance Fund (Reporting, certificates - Benefits at the expense of the Social Insurance Fund). You no longer need to print the document every time.
For example, in the event of an employee’s illness, in the Sick Leave Direct FSS payments tab, Information for the register of direct FSS payments each time .
However, you do not need to print out the Information for the register of direct payments to the Social Insurance Fund each time.
In the future, information from this document is transferred to the FSS.
Information about the insured person (Appendix No. 2)
contained in the Information for the register of direct payments to the Social Insurance Fund is similar to the data in the employee’s Application for payment of benefits (for example, SNILS, INN, indication of the method of payment of benefits).
Information about the insured person if it changes
If the information on the insured person has changed, then when entering the next benefit document, you must print out a new application.
For example, we create a sick leave . On the Direct FSS payments , enter Information for the register of direct FSS payments .
If information about an employee has changed, then in the Information... Information about the insured person has been changed will be automatically selected .
Then it will be possible to print information about the insured person
and sign the Information... with new data (for example, if the employee wanted to receive benefits to a different bank account).
Application for recalculation of previously assigned benefits (Appendix No. 1)
Application for recalculation of a previously assigned benefit (Appendix No. 1) - is generated only if the data on the benefit is corrected.
For example, in the document correcting the Sick Leave, on the Direct FSS payments we create Information for the register of direct FSS payments .
From the Information... you can print an Application for recalculation of a previously assigned benefit.
Inventory of submitted documents (information) (Appendix No. 3)
Inventory of submitted documents (information) (Appendix No. 3) - filled out if information is transmitted to the Social Insurance Fund not in the form of electronic Registers , but on paper.
Notice of termination of the insured person's right to receive a monthly child care benefit (Appendix No. 4)
Notice of termination of the insured person's right to receive a monthly child care benefit (Appendix No. 4) - is created if it is necessary to terminate the payment of a monthly child care benefit early (due to the dismissal of an employee, going back to work full time, etc.). d.)
In this case, the document Return from care leave (Salary - Care leave and returns - Return from care leave), where on the Direct Social Insurance Payments Notice of termination of parental leave is entered .
In the Notification you can display its printed form
The document Notice of Termination of Parental Leave has expanded the list of grounds, and also added the number and date of the order.
When creating the next Register of direct payments to the Social Insurance Fund, it will include a Notice of termination of parental leave .
Application for reimbursement of expenses for payment of social benefits for funeral (Appendix No. 9)
The funeral benefit is paid by the employer. Then the employer applies for reimbursement of the expenses incurred to the Social Insurance Fund.
In ZUP 3 in the workplace Benefits at the expense of the Social Insurance Fund (Reporting, certificates - Benefits at the expense of the Social Insurance Fund) there is a separate tab Reimbursement of expenses of the organization .
Here you can create a document Application to the Social Insurance Fund for reimbursement of funeral expenses and print it.
Application for reimbursement of expenses for additional paid days off for one of the parents (guardian, trustee) to care for disabled children (Appendix No. 10)
Payment for days of care for disabled children is paid by the employer. Then the employer applies for reimbursement of the expenses incurred to the Social Insurance Fund.
In ZUP 3 in the workplace Benefits at the expense of the Social Insurance Fund (Reporting, certificates - Benefits at the expense of the Social Insurance Fund) there is a separate tab Reimbursement of expenses of the organization .
Here you can create a document Application to the Social Insurance Fund for reimbursement of payments to parents of disabled children and print it.
Register of information required for the assignment and payment of benefits... (Appendices No. 15, 17,19)
The Register of Direct Social Security Payments provides 3 printed forms depending on the type of benefit.
In essence, they have not changed, they will simply differ in the inscription at the top indicating the Appendix number (No. 15, 17 or 19).
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Results
Filling out an application for the FSS pilot project is not particularly difficult.
In general, this is the responsibility of employees, but it can be entrusted to specialists, and employees can only be given a document to sign. The application must be accompanied by documents about the insured event and an inventory in accordance with the Social Insurance Fund form. A special register must also be submitted to the fund. You can find more complete information on the topic in ConsultantPlus. Free trial access to the system for 2 days.
